EVERGREEN FAMILY DENTAL, MILL CREEK, INC
NPI 1396601688
Dentist - General Practice in Mill Creek, WA

Active since December 30, 2025
15224 MAIN ST STE 301, MILL CREEK, WA 98012(425) 338-4999(425) 338-1055 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Family Dental, Mill Creek, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN FAMILY DENTAL, MILL CREEK, INC (NPI 1396601688) is a healthcare organization registered as a general practice in Mill Creek, Washington and active in the NPI registry since December 2025. The organization lists Caitlyn Bates, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396601688
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEVERGREEN FAMILY DENTAL, MILL CREEK, INC
Location Address15224 MAIN ST STE 301Mill Creek, WA 98012-7332
Mailing Address15224 Main St Ste 301Mill Creek, WA 98012-7332 · (425) 338-4999 · Fax (425) 338-1055
Fax(425) 338-1055
Organization SubpartNo
Authorized OfficialCaitlyn BatesOffice Manager · (425) 338-4999
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1396601688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
15224 MAIN ST STE 301, Mill Creek, WA 98012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Family Dental, Mill Creek, Inc's NPI number?

The NPI number for Evergreen Family Dental, Mill Creek, Inc is 1396601688. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Evergreen Family Dental, Mill Creek, Inc located?

Evergreen Family Dental, Mill Creek, Inc is located at 15224 Main St Ste 301, Mill Creek, WA 98012. The listed phone number is (425) 338-4999.

What is Evergreen Family Dental, Mill Creek, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Evergreen Family Dental, Mill Creek, Inc was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.